Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The...

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Amniotic Membrane Transplant in Amniotic Membrane Transplant in Bullous Bullous Keratopathy Keratopathy AUTHORS: AUTHORS: Stanila Stanila Adriana **, Adriana **, Teodoru Teodoru Adrian **, Adrian **, Mihai Mihai Elena *, Elena *, Mihu Mihu Diana *, Dan Diana *, Dan Stanila Stanila **, **, Costache Costache Ionut Ionut **. **. Emergency Hospital Sibiu * Emergency Hospital Sibiu * Faculty of Medicine Faculty of Medicine “V. V. Papilian Papilian” Sibiu ** Sibiu ** Ocular Surface Research Center Sibiu Ocular Surface Research Center Sibiu

Transcript of Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The...

Page 1: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the

Amniotic Membrane Transplant in Amniotic Membrane Transplant in BullousBullous KeratopathyKeratopathy

AUTHORS: AUTHORS: StanilaStanila Adriana **, Adriana **, TeodoruTeodoru Adrian **, Adrian **, MihaiMihai Elena *, Elena *, MihuMihuDiana *, Dan Diana *, Dan StanilaStanila **, **, CostacheCostache IonutIonut **.**.

Emergency Hospital Sibiu *Emergency Hospital Sibiu *Faculty of Medicine Faculty of Medicine ““V. V. PapilianPapilian”” Sibiu **Sibiu **

Ocular Surface Research Center SibiuOcular Surface Research Center Sibiu

Page 2: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the

AIM OF STUDYAIM OF STUDY

We studied the effects of amniotic We studied the effects of amniotic membrane transplant in managing the membrane transplant in managing the bullousbullous keratopathykeratopathy..

Page 3: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the

MATHERIAL, METHODMATHERIAL, METHOD

We performed amniotic membrane We performed amniotic membrane transplant + therapeutic contact lens in transplant + therapeutic contact lens in some cases with some cases with bullousbullous keratopathykeratopathy. .

Page 4: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the

The amniotic membrane is a biologic tissue that can be used The amniotic membrane is a biologic tissue that can be used as a graft for corneal and as a graft for corneal and conjunctivalconjunctival reconstruction in a reconstruction in a variety of ocular surface diseases. It is variety of ocular surface diseases. It is avascularavascular and and possesses possesses antiangiogeneticantiangiogenetic, , antiscarringantiscarring and and antiinflammatoryantiinflammatory properties. It is not a substitute but rather a properties. It is not a substitute but rather a substrate upon which cells can migrate and regenerate, substrate upon which cells can migrate and regenerate, forming new and healthy tissue.forming new and healthy tissue.

We apply the amniotic membrane on the ocular surface, We apply the amniotic membrane on the ocular surface, sutured at the sutured at the limbuslimbus with nylon 10.0, but not on the cornea, with nylon 10.0, but not on the cornea, in order to avoid further corneal scars and we apply a TCL for in order to avoid further corneal scars and we apply a TCL for the fixation of the membrane. the fixation of the membrane.

Page 5: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the

RESULTS, DISCUSSIONSRESULTS, DISCUSSIONS

The applying of the amniotic membrane in The applying of the amniotic membrane in these cases reduced significantly the these cases reduced significantly the symptoms in all cases.symptoms in all cases.

Page 6: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the
Page 7: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the
Page 8: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the
Page 9: Amniotic Membrane Transplant in Bullous Keratopathy Membrane Transplant in Bullous Kerat… · The amniotic membrane transplant is indicated in bullous keratopathies . Although the

CONCLUSIONSCONCLUSIONS

The amniotic membrane transplant is indicated in The amniotic membrane transplant is indicated in bullousbullous keratopathieskeratopathies..

Although the transplant of the amniotic membrane Although the transplant of the amniotic membrane can not be considered the final solution in can not be considered the final solution in bullousbullousketatopathyketatopathy, it has great benefits being a cheap and , it has great benefits being a cheap and repetitive option for these patients, before doing the repetitive option for these patients, before doing the perforating perforating keratoplastykeratoplasty..